Primary Care Practices

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Service Description	CPT Code	Charge Type	PrimaryCare Practice Price
TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR PP	24359	Prof	$1423.50
TOMOGRAPHY,INTRAVASCULAR,OPTICAL COHERENCE,INITIAL PP	92978	Prof	$189.75
TOMOSYNTHESIS,DIGITAL,BIL PP	77062	Prof	$65.00
TOMOSYNTHESIS,DIGITAL,BIL,SCREENING PP	77063	Prof	$65.00
TOMOSYNTHESIS,DIGITAL,UNIL PP	77061	Prof	$65.00
TONSILLECTOMY & ADENOIDECTOMY AGE 12/>	42821	Prof	$651.00
TONSILLECTOMY,PRIMARY/SECONDARY,=> 12YO PP	42826	Prof	$537.00
tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth PP	D7270	Prof	$594.85
topical application of fluoride - excluding varnish PP	D1208	Prof	$36.55
topical application of fluoride varnish PP	D1206	Prof	$39.25
TOT ABD HYSTERECT & RAD DISSECT,DEBULK,W/PELVIC LYMPHADENECT PP	58954	Prof	$4911.00
TOT DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL PP	22858	Prof	$1120.50
TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV PP	22856	Prof	$3804.00
TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC LMBR PP	22857	Prof	$4218.00
TOTAL ABDOMINAL HYSTERECTOMY PP	58150	Prof	$2312.00
TOTAL HYSTERECTOMY/CERVICECTOMY PP	58240	Prof	$6528.00
TOTAL THYROID LOBECTOMY,UNILATERAL PP	60220	Prof	$1614.00
TOTAL THYROID LOBECTOMY,W CONTRALATERAL LOBECTOMY,UNILATERAL PP	60225	Prof	$2000.00
TOXOID ADMIN,1 VACCINE	90471	Tech	$25.00
TOXOID ADMIN,1 VACCINE MAU PP	90471	Prof	$25.00